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Organization

PODIATRY ASSOCIATES OF FLORIDA, INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MISS NICOLE SISKO (CREDENTIALING SPECIALIST)
(727) 483-7463
Entity
Organization

Contact information

Practice address
1914 SOUTHSIDE BLVD, #1, JACKSONVILLE, FL 32216-1996
(727) 483-7463
(727) 755-0679
Mailing address
311 PARK PLACE BLVD, 5TH FLOOR, CLEARWATER, FL 33759-4904
(727) 483-7463
(727) 755-0679

Taxonomy

Speciality
Code
Description
License number
State
332900000X
Non-Pharmacy Dispensing Site
Primary
PO1121
FL

Other

Enumeration date
10/01/2015
Last updated
10/01/2015
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